National Cancer Screening Programmes

1. National Cancer Screening Programmes Bowel Screening Breast Screening Cervical Screening

2. Cervical Screening Overview • Delivered via Primary Care ( GP practices) • Target – 80% of eligible women will have been screened in last 5 yrs • All eligible women aged 24.5 -49 years – offered screening every 3 years. • All eligible women aged 50-64 years – offered screening every 5 years. • Prior Notification List - from Primary Care Support Services ( PCSS) to GP Practice, completed and returned ( electronically – Open Exeter) • Women sent letter of invitation. • Women attends – result determines follow-up • Non-attenders – 2 further invitations then non responder notification to practice.

3. Developments in CS Programme • 14 Day Turn-around • Zero Tolerance • HPV Triage • HPV Test of Cure • HPV Vaccination • Future HPV only testing • Direct referral to Colposcopy • ABC reporting terminology • Vault Samples • Pathway for Symptomatic Women < 25yrs • Equity of Access • Never Screened Project • Social Media Campaign • Standardised Training for all

4. Cervical Screening Coverage Data KC53 31 March 2013 Manchester PCT*

6. Zero Tolerance

7. Summary of the Breast Screening Pathway • Eligible population is women aged 50 to 70 years • Manchester eligible population is 45,973 women • One of the main benefits is from screening at regular intervals – the recommended interval is to invite every 3 years • The invite is not related to any woman’s date of birth. It is fixed to when the GP practice is invited. • Once every 3 years all the women in this age range registered with one GP practice are invited to attend for breast screening. • All promotional activities are most appropriate/effective when they are coordinated with each GP 3 year round. • Each woman will have received an invitation by the time she is 53 years of age. • Women over the age of 70 are not invited but can request an appointment every 3 years • National study into benefits/harms of extending the invitation for screening to women aged 47 to 73.

8. How is breast screening programme organised? • Across the country breast screening is delivered by breast screening programmes • Each programme serves a population of between 500,000 and I million people • Across the 3 Manchester CCGs the service is provided by Greater Manchester Breast screening programme , based at UHSM • Public number 0161 291 4444 • The provider also delivers breast screening in Trafford, Oldham, Salford, Tameside and Glossop.

9. Minimum standard 70%

10. Breast screening Information for Professionals and Public • http://www.informedchoiceaboutcancerscreening.org • Professional resources: summary of evidence base for breast cancer screening programmes • Link to other websites – cancer screening • Patient information : e-leaflet available on the website. • Paper copies can be ordered from Department of Health . orderline telephone: 0300 123 1002 • Bowel and cervical screening programme resources under development

11. Bowel Screening Programme • Bowel cancer screening aims to detect bowel cancer at an early stage (in people with no symptoms), when treatment is more likely to be effective. • Bowel cancer screening can also detect polyps. These are not cancers, but may develop into cancers over time. They can easily be removed, reducing the risk of bowel cancer developing. • The NHS Bowel Cancer Screening Programme offers screening every two years to all men and women aged 60 to 74. People over 75 can request a screening kit by calling the freephone helpline 0800 707 6060 • Target for coverage is 60%

12. Uptake Rates

13. Positivity Rates